| NPI | 1922558360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340372-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 661491-1) |
| 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: NY 661491) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F340372) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2019-01-14 |