| NPI | 1518408624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 341789) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 659559) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2021-06-09 |