| NPI | 1982952982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347238) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657121) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2021-08-27 |