| NPI | 1801495189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346470-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |