| NPI | 1720562341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343905) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F09180171) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2019-07-24 |