| NPI | 1497240105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343039-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 378261-1) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |