| NPI | 1144706110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343892) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9208436) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2020-12-01 |