| NPI | 1548782808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F341987-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 341987) |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2023-06-29 |