| NPI | 1205127156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305686) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 591667) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2021-09-28 |