| NPI | 1457369225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F332638-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 332638) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-07-05 |