| NPI | 1952783391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341783) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00696) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2017-11-08 |