| NPI | 1881835452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342264-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 009232-1) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2021-11-21 |