| NPI | 1629108998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 515251-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335068-1) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-07-02 |