| NPI | 1861842585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341675-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 694439) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2018-11-06 |