| NPI | 1912910886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 333246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 443303) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 443303) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-08-19 |