| NPI | 1902391303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: FL 9351747) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: FL ARNP9351747) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 352992) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2024-03-05 |