| NPI | 1881268860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 849026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348088) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2023-03-30 |