| NPI | 1841730785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 342631) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F342631-1) |
| Enumeration Date | 2017-02-25 |
| Last Update Date | 2022-02-04 |