| NPI | 1881353357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 349103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 673772) |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2022-01-14 |