| NPI | 1992282875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3285-0) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F342032-1) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2021-12-14 |