| NPI | 1659766558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 693199) |
| 163W00000X Registered Nurse (Licence: NJ 26NR17877600) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2016-11-23 |