| NPI | 1922250802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335586) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 551182) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY f-331186) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2023-05-30 |