| NPI | 1225447394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F3387361) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338736) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2023-04-28 |