| NPI | 1649373531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 300754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 410787) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300754-1) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-07-05 |