| NPI | 1013028737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306415-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 341998-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 330659) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 330659-1) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-07-05 |