| NPI | 1922584549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F431583-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 7681) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2023-08-24 |