| NPI | 1255937819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F346780-01) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: NY 346780) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2024-02-28 |