| NPI | 1083967616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 309651) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 577104) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2023-02-01 |