| NPI | 1417711706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 635410-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 353718) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-25 |