| NPI | 1689624215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 303596) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 448467) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-07-05 |