| NPI | 1700260221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339655-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F-339655) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2019-06-26 |