| NPI | 1306273065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338319) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338319-1) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2023-06-06 |