| NPI | 1437433513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311320-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 624079-1) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2024-03-05 |