| NPI | 1669646790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335365-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 25126) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2022-03-23 |