| NPI | 1710470877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 308608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 659429) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-11-29 |