| NPI | 1730552027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340144) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 689181) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2019-07-03 |