| NPI | 1952855744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340745) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 340745) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9457981) | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2022-07-21 |