| NPI | 1932180072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 0330798) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9346340) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2021-03-18 |