| NPI | 1407366735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 342305) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NY 632533) |
| Enumeration Date | 2017-09-30 |
| Last Update Date | 2020-05-29 |