| NPI | 1285951657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339471) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R045900-1) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2023-12-01 |