| NPI | 1437522307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339938) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339938) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2019-11-18 |