| NPI | 1144748336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F341439-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F341239-1) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2023-09-20 |