| NPI | 1174771208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303064) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F30364-01) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3030064-2) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2022-04-29 |