| NPI | 1992251284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343604) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-105188) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9401464) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-04-08 |