| NPI | 1255714994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347329) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 679437) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 349329) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-08-05 |