| NPI | 1972179182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347722-01) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 779163-01) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2022-08-24 |