| NPI | 1285027276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 308123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686975-1) |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2020-01-21 |