| NPI | 1780081182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19444) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2016-11-10 |