| NPI | 1538443114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336997) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY F336997) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2021-03-18 |