| NPI | 1073627279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301304-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301301-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 301304) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-07-05 |