| NPI | 1619495942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f3421381) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY f342138-1) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-22 |