| NPI | 1568033132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310396) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 678807) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-05-04 |