| NPI | 1619087145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6596-33) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-09-03 |