| NPI | 1417478306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 703242) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-12-02 |