| NPI | 1356811269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354557) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 661595-1) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2024-07-02 |