| NPI | 1306385257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348522) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 469996) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2022-02-04 |