| NPI | 1881257731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344096-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344096) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2023-06-30 |