| NPI | 1518530492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F347879) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F347879-01) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-08-24 |