| NPI | 1912395526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339200-1) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2024-04-22 |