| NPI | 1023430808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33338435) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 22549290) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2020-10-20 |