| NPI | 1467113068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348729) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 737494) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-10-03 |