| NPI | 1467116442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310961) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 709630-01) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2022-12-07 |