| NPI | 1407867781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 300953) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 391195) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 331667) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 300953) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2023-07-05 |