| NPI | 1518511831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309448) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 121352) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 309448) | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2024-04-10 |