| NPI | 1568806289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 308557) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-127506) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2018-10-25 |