| NPI | 1467872853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310047) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9145) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2025-07-24 |