| NPI | 1962769331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344498) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TN 16467) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2019-09-04 |