| NPI | 1225239874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303311) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 303311) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: NY 303311) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-02-01 |