| NPI | 1821740663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348590) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 719872) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2023-03-10 |