| NPI | 1912481151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348563) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9249956) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2022-02-23 |