| NPI | 1770992828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R192531) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2020-10-16 |