| NPI | 1891198834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344863-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 689301) |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2020-02-21 |