| NPI | 1184098253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F359547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 729269) |
| 164W00000X Licensed Practical Nurse (Licence: NY 322953-1) | |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2026-04-27 |