| NPI | 1740856525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 355104) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 755332) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-11-21 |