| NPI | 1942351838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334229) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 0387088) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-07-16 |