| NPI | 1427612050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 309150) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 542117) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-30 |