| NPI | 1043398340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F300957-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024179095) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NY 3832885) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-08-11 |