| NPI | 1811740814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F35813) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F353813) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |