| NPI | 1891429437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349567) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 703824) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |