| NPI | 1154435469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300590) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 300590) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2023-07-05 |