| NPI | 1255984993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310910) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R214743) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2022-09-21 |