| NPI | 1356044457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F351447-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 10956) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |