| NPI | 1336689082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687360) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2018-07-24 |