| NPI | 1295358836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346266) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NY 346266) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2023-10-11 |