| NPI | 1447588793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 621954) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2020-01-19 |