| NPI | 1629508312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F307086) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 307086) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-03-17 |