| NPI | 1851313175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F3314941) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 331494) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-07-05 |