| NPI | 1548608177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 300700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F330700) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-11-02 |