| NPI | 1225363989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335648-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335648) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2022-02-14 |