| NPI | 1528441672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F340311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687019) |
| 363LF0000X Nurse Practitioner Family (Licence: NY 340311) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2019-09-25 |