| NPI | 1710371398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339414-1) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 571608-1) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2024-04-17 |