| NPI | 1841602885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355544) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 316392) |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2025-03-07 |