| NPI | 1548864796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 816327) |
| 163W00000X Registered Nurse (Licence: OH 465633) | |
| Enumeration Date | 2020-11-29 |
| Last Update Date | 2024-03-15 |