| NPI | 1548652985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 613197) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 7613) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 339380) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2023-04-20 |