| NPI | 1144610528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 005741) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2016-11-09 |