| NPI | 1275051906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343555) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.007208) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2019-05-15 |