| NPI | 1871895862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010022) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 334191) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2023-05-11 |