| NPI | 1396355095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345465) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 345365) |
| 363L00000X Nurse Practitioner (Licence: NY 345465) | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |