| NPI | 1770765117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F302125-1) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner Occupational Health (Licence: NY F302125-1) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2023-03-07 |