| NPI | 1518500735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351160) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR23221800) |
| 163W00000X Registered Nurse (Licence: NY 762433) | |
| 164W00000X Licensed Practical Nurse (Licence: NY 315794) | |
| 363L00000X Nurse Practitioner (Licence: NY 351160) | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2024-10-04 |