| NPI | 1477265635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310820-01) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 11560) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2023-03-01 |