| NPI | 1770518623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 301476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 443130) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-07-05 |