| NPI | 1063657559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 475863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F 337175) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2020-04-17 |