| NPI | 1477811438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342482-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 480648-1) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2020-03-23 |