| NPI | 1700193315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 615004-1) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2023-06-21 |