| NPI | 1487976718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 708563) |
| 164W00000X Licensed Practical Nurse (Licence: NY 299371) | |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2025-04-17 |