| NPI | 1851093744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F351718) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025187) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-04-26 |