| NPI | 1477943769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340275) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 586277) |
| 163W00000X Registered Nurse (Licence: NJ 26NR16043100) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2025-12-04 |