| NPI | 1588071450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307243-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 673143-1) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2019-06-06 |