| NPI | 1265788277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342061-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012212) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2021-03-15 |