| NPI | 1932726528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345291-01) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F345291-01) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |