| NPI | 1417018425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304690) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 450021) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-09-12 |