| NPI | 1699889949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 332294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 264949) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-03-09 |