| NPI | 1194904607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 337279) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: NY 5843821) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2021-01-15 |