| NPI | 1619390127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F342823-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 680643) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2018-09-05 |