| NPI | 1598331266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 543863) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 348177) | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-05-18 |