| NPI | 1295044576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342953-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 633555) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2025-02-18 |