| NPI | 1790386431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 703007) |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2024-09-05 |