| NPI | 1235532490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 568450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344102-01) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2022-09-09 |