| NPI | 1811261605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336615) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 336615) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2024-02-29 |