| NPI | 1699151084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 705682) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2017-10-26 |