| NPI | 1386999092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305714-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 594998-1) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2022-08-11 |