| NPI | 1952074189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11031122) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F347464-01) |
| Enumeration Date | 2021-07-25 |
| Last Update Date | 2024-06-24 |