| NPI | 1700511714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 703221) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F358007) | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-09-01 |