| NPI | 1972915585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 174465) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337989) |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2022-10-20 |