| NPI | 1649850579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 347478) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 801244) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |