| NPI | 1649668203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309227) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 922037) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 905632) | |
| 163W00000X Registered Nurse (Licence: NY 690629) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2026-01-28 |