| NPI | 1720313281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 536982-1) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2019-07-09 |