| NPI | 1043794787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 352048) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 330309) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2023-07-10 |