| NPI | 1447440235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F-301510-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY F301510) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 301510) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2022-02-18 |