| NPI | 1396129508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340329) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 662548) |
| 163W00000X Registered Nurse (Licence: NJ 26NR15721800) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2019-06-06 |