| NPI | 1689113433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F307886-1) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: CT 9502) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2022-02-01 |