| NPI | 1679082416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 308447) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9432942) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-04-25 |