| NPI | 1134570245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 666346-1) |
| 163W00000X Registered Nurse (Licence: NJ 26NR14886900) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308032-1) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-07-21 |