| NPI | 1245638568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F351246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686079) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2024-01-23 |