| NPI | 1316577042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 345320) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 738555) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2024-09-05 |