| NPI | 1760799985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307061) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 5330641) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2025-03-18 |