| NPI | 1295283521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340288-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 604459-1) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2021-11-11 |