| NPI | 1770034373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 646983) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-11-14 |