| NPI | 1427694884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346319) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 346319) |
| 163WS0200X Registered Nurse, School (Licence: NY 462583-1) | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2023-07-03 |