| NPI | 1992356786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344583) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344583-01) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2023-04-04 |