| NPI | 1497281646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09167) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2019-10-07 |