| NPI | 1659557684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302394) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F-302394-1) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2020-04-13 |