| NPI | 1770263170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 352307) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F352307-01) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 352307) | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-10-16 |