| NPI | 1699911529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304971-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 4246) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2016-08-18 |