| NPI | 1851789911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 691568) |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2023-12-28 |