| NPI | 1730493305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F336430-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 497832-1) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2023-06-05 |