| NPI | 1770967473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687158-1) |
| 163W00000X Registered Nurse (Licence: NJ 26NR17699800) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2022-11-17 |