| NPI | 1679065312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351186) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 718558) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-11-14 |