| NPI | 1194288803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F352770) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 767310) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2023-09-21 |