| NPI | 1689947426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305960) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 305960) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY 305960) | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2024-10-10 |