| NPI | 1255586046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341818) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 277056) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2022-07-21 |