| NPI | 1215966676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NY F3001153-1) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NY F300153) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-04-24 |