| NPI | 1629429428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340424) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22-626458) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2023-07-31 |