| NPI | 1124516653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343178) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 644637) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2023-11-27 |