| NPI | 1912568551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 745109) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-01-05 |