| NPI | 1558732537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 698008) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 312399) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2025-11-13 |