| NPI | 1588120679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F343576-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 745225) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2021-12-29 |