| NPI | 1508431784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344711) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 344711) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F344711-01) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-06-10 |