| NPI | 1962641142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337081-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 600404) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2018-03-17 |