| NPI | 1447255575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F333164) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 5353206) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-03-04 |