| NPI | 1972951309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014651) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340627-1) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2022-08-11 |