| NPI | 1720210362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309419-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 606785-1) |
| Enumeration Date | 2009-08-16 |
| Last Update Date | 2021-07-12 |