| NPI | 1134579972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 623297) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2019-10-10 |