| NPI | 1285832972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334951) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2018-09-21 |