| NPI | 1265751721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345371) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 296657) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2020-08-21 |