| NPI | 1205447224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343482) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F343482-1) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2021-04-20 |