| NPI | 1427453059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339488-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 660572-1) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2019-10-24 |