| NPI | 1245838416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 346035) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NY 632652) |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2021-03-09 |