| NPI | 1992717540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 301154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 287236-1) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-07-05 |