| NPI | 1255458972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 300122) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 290737) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 300122) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-03-22 |