| NPI | 1861704314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335937) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33335937) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2021-11-11 |