| NPI | 1144674383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310808) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 751851) |
| 164W00000X Licensed Practical Nurse (Licence: NY 323017) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2022-12-05 |