| NPI | 1902117740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 33 336295) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 575961) |
| 363LF0000X Nurse Practitioner Family (Licence: NY 336295) | |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2023-06-30 |