| NPI | 1477857845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 352427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 636079) |
| 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: NY 636079) | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2023-10-19 |