| NPI | 1346651049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308834-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 682494-1) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2023-06-06 |