| NPI | 1215476494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 716596) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2018-07-27 |