| NPI | 1457081689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 743333) |
| Enumeration Date | 2022-06-11 |
| Last Update Date | 2022-08-02 |