| NPI | 1528460185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338806-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9338525) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2023-02-07 |