| NPI | 1356354872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F-333024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 333024) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-07-05 |