| NPI | 1346905338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F350019-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 736622) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2024-08-28 |