| NPI | 1174987838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308161) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14932900) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 638652-1) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308161-1) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2022-08-22 |