| NPI | 1679037329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 343711) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343711-1) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2024-04-29 |