| NPI | 1417316381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307411-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 580323-1) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2023-06-28 |