| NPI | 1891340105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344666-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344666) |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2020-01-16 |