| NPI | 1245581263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337587) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 337587) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2023-03-21 |