| NPI | 1780912311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335993-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335993) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2023-07-06 |