| NPI | 1215904271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 301730) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334457) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2025-04-14 |