| NPI | 1619414802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F34225701) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342257) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2023-01-03 |