| NPI | 1457891079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308701) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7194221) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2023-12-19 |