| NPI | 1083990311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 648328) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2023-02-24 |