| NPI | 1013427996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342335-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 342335) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-06-29 |