| NPI | 1982023917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9204428) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-02-26 |