| NPI | 1134351927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335889) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 4133) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2019-08-30 |