| NPI | 1619361359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355540-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 733469) |
| 164W00000X Licensed Practical Nurse (Licence: NY 319298-1) | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2026-06-10 |