| NPI | 1023463148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310198-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9188659) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-09-07 |