| NPI | 1083969042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346406-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 655202) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2020-09-30 |