| NPI | 1528192903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310690-01) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 12596) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-03-27 |