| NPI | 1184231185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309989) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 793047) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2024-04-17 |