| NPI | 1417212630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337373) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337373) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2019-03-20 |