| NPI | 1982378055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 348468) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NY 821009-01) |
| 163WE0003X Registered Nurse Emergency (Licence: MD R202581) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-09-20 |