| NPI | 1447672340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311319-01) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 617191) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2023-12-14 |