| NPI | 1518105410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 420884) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY f420884-1) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2022-07-21 |