| NPI | 1487195715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F348520-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 727685) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-02-01 |