| NPI | 1386315612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 348453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F348453) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 348453) | |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2022-11-18 |