| NPI | 1649554122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340244) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 163W0000X) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2024-01-02 |