| NPI | 1134597040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NY 627812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347071) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F347071-01) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2021-02-25 |