| NPI | 1861049652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345248) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003255) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-11-20 |