| NPI | 1477092799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308572) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 718042) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2022-05-10 |