| NPI | 1134711195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 347296) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 808193) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-06-10 |