| NPI | 1801036405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335558-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335558) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2023-07-06 |