| NPI | 1487170882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9297865) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2019-09-23 |