| NPI | 1225582901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340373) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F340373-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F340373-1) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2021-03-11 |