| NPI | 1245682616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F339249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339249-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F339249) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-10-11 |