| NPI | 1023538782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 308419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 1991113) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2019-07-09 |