| NPI | 1215301809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350347-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 694276-1) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2024-04-02 |