| NPI | 1548599962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 333452) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 333454) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2019-07-12 |