| NPI | 1780811182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 599794) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 357317) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2025-12-04 |