| NPI | 1528215720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F310696-01) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 405248) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NY F42191-01) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CA 18488) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2024-08-09 |