| NPI | 1568182194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 699446) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-04-11 |