| NPI | 1114165461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335539-01) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY F335539-1) |
| Enumeration Date | 2009-01-24 |
| Last Update Date | 2024-08-06 |