| NPI | 1679155071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F34748001) |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2021-05-18 |