| NPI | 1346812401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 678901) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 678901) | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-08-11 |