| NPI | 1700442837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 809008) |
| 164W00000X Licensed Practical Nurse (Licence: NY 335172) | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2025-07-10 |