| NPI | 1538236633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 719828) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2024-10-04 |