| NPI | 1356120562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F352574) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F352574-01) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-10-27 |