| NPI | 1922445212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337846) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2022-09-06 |