| NPI | 1609540509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F07210050) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 752986) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-09-29 |