| NPI | 1992393995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346515-01) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 346515) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2023-07-07 |