| NPI | 1477635795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F300644) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 300644) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300644) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-05-15 |