| NPI | 1063999738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9356739) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2024-07-18 |