| NPI | 1457740623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339373) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 495600) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2021-03-24 |