| NPI | 1184263832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F346583-01) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: NY 705073-1) |
| Enumeration Date | 2019-12-29 |
| Last Update Date | 2022-03-15 |