| NPI | 1265779243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344223-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 658205) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2019-03-25 |