| NPI | 1700546975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347741) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 347741) |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2022-05-04 |