| NPI | 1851761241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33-340083) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340083) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2023-06-28 |