| NPI | 1831514991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338559-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 005657) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2021-02-17 |