| NPI | 1992018659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F3362901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336290) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2023-06-29 |