| NPI | 1669860755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307415) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 598886) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2015-09-10 |