| NPI | 1649823469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344705-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344705) |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2023-12-15 |