| NPI | 1114681673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 349068) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 577281) |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-01-18 |