| NPI | 1831468602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347322-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9280230) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2022-12-09 |