| NPI | 1396229142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY pending) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 308958) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2023-06-30 |