| NPI | 1477006302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 586053) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY F340481-1) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2022-03-31 |