| NPI | 1942829411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F346175-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 346175) |
| 163WN0800X Registered Nurse Neuroscience (Licence: NY 673328) | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2023-09-28 |