| NPI | 1922359686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 337801) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 648507) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2019-02-28 |