| NPI | 1457766008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338477-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2979) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2025-04-02 |