| NPI | 1669917027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F307875) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 648919-1) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |