| NPI | 1629432810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 593687-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 307742) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2023-06-29 |