| NPI | 1245733252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342855-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 686862-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342855) | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2023-06-30 |