| NPI | 1982203360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F345596) |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2023-07-03 |