| NPI | 1386091445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340286-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340286) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2023-07-03 |