| NPI | 1275802084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336596) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 604720) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2024-06-17 |