| NPI | 1952059347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350825) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 217198) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016427) | |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2024-02-14 |