| NPI | 1922518927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348745) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 571480) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2022-10-31 |