| NPI | 1952814097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 087370-23) |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2022-04-08 |