| NPI | 1780896670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F330556-1) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 425661-1) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2018-04-04 |