| NPI | 1750928578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309535) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 554372) |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2022-07-19 |