| NPI | 1356756902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 552389) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2025-02-20 |