| NPI | 1356689194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306323) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 5425841) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2016-12-30 |