| NPI | 1285109439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F343190-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 704718-1) |
| 363L00000X Nurse Practitioner (Licence: NY 343190) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2023-04-18 |