| NPI | 1699086579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 310471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 603231) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2022-02-04 |