| NPI | 1427236330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 336599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 589786) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F336599) | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2024-05-15 |