| NPI | 1801072798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345387) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 596136) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2020-03-26 |