| NPI | 1023770724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 711228) |
| Enumeration Date | 2021-10-10 |
| Last Update Date | 2021-10-10 |