| NPI | 1093054975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 308982) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: NY 605019) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2021-08-02 |