| NPI | 1093066250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349850-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 349850) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2023-07-22 |