| NPI | 1396150983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310992-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 681638) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2023-02-07 |