| NPI | 1366102592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F310012-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 607225) |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2023-02-24 |