| NPI | 1245346972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 330360) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA TP001903) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-05-10 |