| NPI | 1205850203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 382891) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F300942-1) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-07-20 |