| NPI | 1770861858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F-336757) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F336757-1) |
| Enumeration Date | 2011-07-24 |
| Last Update Date | 2022-11-03 |