| NPI | 1740542299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013196) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 646101-1) |
| 363L00000X Nurse Practitioner (Licence: NY F307287-1) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2020-11-23 |