| NPI | 1982702007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F3346761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 4999481) |
| 363L00000X Nurse Practitioner (Licence: NY 334676) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-07-06 |