| NPI | 1518685122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350159) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 350159) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2023-01-17 |