| NPI | 1568883973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F303057-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 499435-1) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2019-09-25 |