| NPI | 1285159970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 734003) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-03-09 |