| NPI | 1508464264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 706141) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2023-12-09 |