| NPI | 1326641242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344328) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432306) |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2022-08-08 |