| NPI | 1144521402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309488) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 696238-1) |
| 164W00000X Licensed Practical Nurse (Licence: NY 302545-1) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2021-07-26 |