| NPI | 1033682380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343037-7) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 683239) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 343037) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2022-07-19 |