| NPI | 1376010322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343298-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343298) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-10-17 |