| NPI | 1295215929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343530) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 664772) |
| 163WX0800X Registered Nurse, Orthopedic (Licence: NY 664772) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2025-05-12 |