| NPI | 1497164958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311585) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 656405) |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2023-10-29 |