| NPI | 1043584352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 305945) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305945-1) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2024-02-06 |