| NPI | 1720644172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343961-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 343961) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2021-01-20 |