| NPI | 1891346151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345117) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 235620) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-07-11 |