| NPI | 1881632412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 331191) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F3311911) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2021-05-12 |