| NPI | 1033348677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335438-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335438-01) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11006377) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2024-06-18 |