| NPI | 1093027153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 306547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 609093-1) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2024-08-16 |