| NPI | 1902953136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 337717) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NY 417544-1) |
| 363L00000X Nurse Practitioner (Licence: NY F337717-01) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-01-31 |