| NPI | 1861427874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 333939) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 413582) |
| 363L00000X Nurse Practitioner (Licence: NY 333939) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-03-07 |