| NPI | 1376887950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F306265) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 306265) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2023-10-12 |