| NPI | 1225449077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348653) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 759793) |
| 164W00000X Licensed Practical Nurse (Licence: NY 315608) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2021-11-23 |