| NPI | 1073024840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F342975-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9363257) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2021-05-16 |