| NPI | 1548547664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341553) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15715800) |
| 163W00000X Registered Nurse (Licence: NY 646513-1) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2019-07-13 |