| NPI | 1881166536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11000686) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F346251) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2024-01-05 |