| NPI | 1669049599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 347997) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 575704) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-08-16 |