| NPI | 1982613881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F331701) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301780) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 331701) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-07-05 |