| NPI | 1922414085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339360) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95024245) |
| 163W00000X Registered Nurse (Licence: NY 672475) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-07-21 |