| NPI | 1770184673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F30980201) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309802-01) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-12-01 |