| NPI | 1053989301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349887) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014534) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-07-17 |