| NPI | 1912421397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 675067-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F1216003) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2021-02-24 |