| NPI | 1891087771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340186) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 6368461) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2016-09-23 |