| NPI | 1831476647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F339065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 614896) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2022-06-21 |