| NPI | 1689127623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339921) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339921-1) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2021-06-25 |