| NPI | 1881863363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9346165) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335401-1) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2024-04-03 |