| NPI | 1407261191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338733-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338733) |
| Enumeration Date | 2014-06-22 |
| Last Update Date | 2023-06-30 |