| NPI | 1346485570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304857) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F304857-1) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2021-05-19 |