| NPI | 1568941532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343009) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343009) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431665) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2022-08-05 |