| NPI | 1326412255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340028-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 609662-1) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2023-08-03 |