| NPI | 1194205252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342728-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 008649) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2019-12-17 |