| NPI | 1407310139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340210) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 523393-1) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-04-17 |