| NPI | 1649453630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 3314161) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: NY 224651) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2023-11-01 |