| NPI | 1598386450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F31009601) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 558535) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2024-05-20 |