| NPI | 1043305956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F-302355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 371556) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-03-07 |