| NPI | 1679639835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 335011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335011-1) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-08-08 |