| NPI | 1013922855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 333350) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 403112) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F333350) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 333350) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-07-05 |