| NPI | 1215019930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303508) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f303508-1) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-04-04 |