| NPI | 1760448757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F303011) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 303011) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-07-06 |