| NPI | 1609123959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F33677-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 335677) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2023-02-17 |