| NPI | 1831720481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F344717-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 34471701) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2021-03-04 |