| NPI | 1750685285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341960) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 634847-1) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2025-03-19 |