| NPI | 1831242973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F334918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F334918-1) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2021-02-05 |