| NPI | 1417395476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F341755-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170912) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2018-06-11 |