| NPI | 1760604128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NY F320004-1) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NY F32004-1) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-10-11 |