| NPI | 1972155000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344638) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F344638-01) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2022-12-14 |