| NPI | 1508363326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F344792-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9434696) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2019-10-19 |