| NPI | 1538811500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348491) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 721470) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 34849) | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |