| NPI | 1730556341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339988) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 697591) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2023-10-03 |