| NPI | 1770533010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304235-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 489035) |
| 363L00000X Nurse Practitioner (Licence: NY 3042351) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-09-19 |