| NPI | 1689632580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334820) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F334820-1) |
| 364S00000X Clinical Nurse Specialist (Licence: NY 507548) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-08-14 |