| NPI | 1558413898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F3335421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 300049) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-07-03 |