| NPI | 1134221039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334579-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334579) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-07-05 |