| NPI | 1821760141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349046-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 749977) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-07-22 |