| NPI | 1508195132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F406076) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 621922) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2024-07-09 |