| NPI | 1548541915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305899) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 644932-1) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2020-03-30 |