| NPI | 1972088979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R256059) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343457) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2024-01-17 |