| NPI | 1992982615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9431183) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335419) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2025-11-10 |