| NPI | 1548755127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343202) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 343202) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-06-30 |