| NPI | 1568133890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348718-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 818143-01) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-10-21 |