| NPI | 1437819026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F309527) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309527-01) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2022-06-30 |