| NPI | 1528183613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334591) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f33459-1) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-03-17 |