| NPI | 1770972861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306808-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 524417) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2018-12-20 |