| NPI | 1013162346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F353276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 454839) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F353276) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2024-07-22 |