| NPI | 1275847592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344236-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 299288) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2020-12-11 |