| NPI | 1861969222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350224-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 668463) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2022-09-15 |