| NPI | 1649739509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344034-1) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2021-04-30 |