| NPI | 1942527783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354140) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 283886) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2024-08-13 |