| NPI | 1265954259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342763) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 702298) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2024-01-09 |