| NPI | 1518370055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F308049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 677151) |
| 363L00000X Nurse Practitioner (Licence: NY F308049-1) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2019-05-09 |