| NPI | 1093184996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F341652) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009698) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2022-07-21 |