| NPI | 1962923508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013306) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 341995) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2021-11-16 |