| NPI | 1730535634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 342821) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R194322) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342821) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-06-20 |