| NPI | 1114933421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302641) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY 30302641) |
| 363L00000X Nurse Practitioner (Licence: NY 302641) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-07-05 |