| NPI | 1124567300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F308546-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701703-1) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2023-02-06 |