| NPI | 1003391483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343206-01) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F343206-1) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2022-10-21 |