| NPI | 1902550791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349032-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN328218) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2024-09-06 |