| NPI | 1437665965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343608) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 618762) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2021-05-28 |