| NPI | 1487232237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347542) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11012103) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-11-11 |