| NPI | 1366920274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308747) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 640423) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2023-06-30 |