| NPI | 1194193060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339824) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2023-07-24 |