| NPI | 1063414621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NY F320014) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 208206) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2025-09-11 |