| NPI | 1336779479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 704849) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2021-08-25 |