| NPI | 1407163306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F352232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 6343381) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2024-02-22 |