| NPI | 1033665773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340931-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN651596) |
| 163W00000X Registered Nurse (Licence: NY 716343) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR17632400) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-03-09 |