| NPI | 1376204081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 722130) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-06-10 |