| NPI | 1487175196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21021) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2023-05-12 |