| NPI | 1992443519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R269552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346165) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-12-10 |