| NPI | 1669987491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 308583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 661160) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2018-02-26 |