| NPI | 1083348916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 350018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 645103) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-10-15 |