| NPI | 1154747079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 672647) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2018-02-16 |