| NPI | 1417455569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 354510) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 735722) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2024-08-30 |