| NPI | 1043319833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300245-1) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: NY 364453-1) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2021-03-11 |