| NPI | 1730709296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345914-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 664092) |
| 207ZN0500X Pathology, Neuropathology (Licence: NY 345914) | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2023-07-17 |