| NPI | 1922357144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 553289-1) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2018-06-30 |