| NPI | 1871035717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355799) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 327234) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2025-02-05 |