| NPI | 1891395406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp022840) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 1215358) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY f346844-01) | |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2021-10-26 |