| NPI | 1205201332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307665) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627236) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2018-05-24 |