| NPI | 1013439561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R232747) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308420) |
| 163W00000X Registered Nurse (Licence: NY 657046) | |
| Enumeration Date | 2017-07-15 |
| Last Update Date | 2020-08-06 |