| NPI | 1609316702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309544-01) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 579299) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309544-01) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2021-11-30 |