| NPI | 1104286343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341625) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 648247) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2023-06-06 |