| NPI | 1407309024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340928-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340928) |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2023-06-29 |