| NPI | 1477948792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 348711) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 697669) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2025-07-29 |