| NPI | 1033632138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19002600) |
| 163W00000X Registered Nurse (Licence: NY 722799) | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2019-08-04 |