| NPI | 1215269741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 34679901) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2917721) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2021-02-01 |