| NPI | 1609602309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354577) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 2958962) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-10-24 |