| NPI | 1548686074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 430891) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627787-1) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2021-02-03 |