| NPI | 1750047874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F349747-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 738923-01) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2023-01-17 |