| NPI | 1356839807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 9909236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 9231885) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |