| NPI | 1992162218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701831) |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2019-07-29 |