| NPI | 1124791694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348907-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PR 4086) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-06-06 |