| NPI | 1598133183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340013-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340013) |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2023-06-28 |