| NPI | 1013562792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344931) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 10586767-4405) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2024-06-25 |