| NPI | 1558748806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 345057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 697583) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2019-09-16 |