| NPI | 1013572742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309254) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 575185) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2023-07-03 |