| NPI | 1922502087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342491) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 607831) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |