| NPI | 1356994537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F351103-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 613201-1) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2023-04-04 |