| NPI | 1225590557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309184-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 645445) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-08-20 |