| NPI | 1508306457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F3426431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 718768-1) |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2021-06-09 |