| NPI | 1033673132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343787-1) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL 9368742) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL 9368742) | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-01-13 |