| NPI | 1609237403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349673) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22574960) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2023-04-21 |