| NPI | 1750357984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F333486) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 006167) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2016-08-16 |