| NPI | 1467209510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354035) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 354035) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-07-17 |