| NPI | 1710250063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305938) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 005184) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2023-06-07 |