| NPI | 1679001341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3204882) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2019-09-06 |