| NPI | 1629699269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345526-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F345526) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2023-02-08 |