| NPI | 1841741725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340393-1) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 612141-1) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2017-01-13 |