| NPI | 1154073955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 310738) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 10597) |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2023-04-12 |