| NPI | 1730725029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309423-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 309423) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2023-07-03 |