| NPI | 1316593718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 764014) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2021-10-01 |