| NPI | 1538734116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347215) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 347215) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2023-07-17 |