| NPI | 1558671362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 618957) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY 348749-01) | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2024-05-29 |