| NPI | 1144238627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 301854) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 3018541) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2017-12-19 |