| NPI | 1053867838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f341636-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 660507) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2019-04-23 |