| NPI | 1558555482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33335312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335312) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2023-07-06 |