| NPI | 1710523741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 403798) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 737628) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-06-20 |