| NPI | 1215269741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 690238) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2026-07-08 |