| NPI | 1902870264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F331910) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R176874) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2016-04-04 |