| NPI | 1235427881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336874) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336874-1) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2019-11-14 |