| NPI | 1003535816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 733734) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 350542) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-07-22 |