| NPI | 1669785903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306115) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 576717) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2025-09-14 |