| NPI | 1346706801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 309081) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 309081) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NY 309081) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2020-10-08 |