| NPI | 1194252726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R246873) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F308145-1) |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2024-04-04 |