| NPI | 1184234643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349306) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11007640) |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2024-04-25 |