| NPI | 1598322638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 344869) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 672942-1) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2023-08-23 |