| NPI | 1902283922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F352257-01) |
| Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel (Licence: NY 692844) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2024-03-11 |