| NPI | 1598134587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348576) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 700224-1) |
| Enumeration Date | 2015-09-19 |
| Last Update Date | 2022-01-06 |