| NPI | 1942722319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 342764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 722037) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F342764) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2024-02-06 |