| NPI | 1023651361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 677674) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 309243) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |