| NPI | 1003152539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 352885) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 663572) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2024-05-08 |