| NPI | 1144497983 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304798) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F304798) | 
| Enumeration Date | 2008-05-12 | 
| Last Update Date | 2022-08-30 |