| NPI | 1033574520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-108330) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 901669) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2023-03-15 |