| NPI | 1669845533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F310560-01) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310560) |
| 163W00000X Registered Nurse (Licence: NY 708130-1) | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2024-03-27 |