| NPI | 1841719317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22687959) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2020-11-06 |