| NPI | 1649529900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F08170262) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 574544) |
| 363L00000X Nurse Practitioner (Licence: NY F08170262) | |
| 364SF0001X Clinical Nurse Specialist Family Health (Licence: NY FO8170262) | |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2018-03-17 |