| NPI | 1538252390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f3026621) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302662) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-07-05 |