| NPI | 1518274836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 589368) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2024-05-07 |