| NPI | 1396362042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345567) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NY 345567) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-06-04 |