| NPI | 1922553890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0995730) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33340760) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2023-04-14 |