| NPI | 1154947307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NY 320095) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 320095) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-08-13 |