| NPI | 1366827230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339629-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339629) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2023-05-15 |