| NPI | 1740766484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 715750) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2024-06-21 |