| NPI | 1760091029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348082) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 348082) |
| 363L00000X Nurse Practitioner (Licence: NY 348082) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2024-12-19 |