| NPI | 1871655977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304258) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NY F304258) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-04-24 |