| NPI | 1659301422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 332843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332843) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-05-11 |