| NPI | 1194381020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344111-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344111) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2021-02-20 |