| NPI | 1982932158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 619181) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2020-08-13 |