| NPI | 1700225109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338071) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 338071) |
| 163W00000X Registered Nurse (Licence: NY 551159) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-04-24 |