| NPI | 1346651924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F310683-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F310683-01) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9259540) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2023-12-08 |