| NPI | 1922507243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 342587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22675489) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2019-11-15 |