| NPI | 1336688993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341470) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 591554) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2021-10-06 |