| NPI | 1891217378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342816) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R192044) |
| 163W00000X Registered Nurse (Licence: NY 652740) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2018-04-23 |