| NPI | 1144731191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340988-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI 03633) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-06-15 |