| NPI | 1619603107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349981) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717311) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-08-02 |