| NPI | 1386227775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 2021000169) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-06 |