| NPI | 1770983553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 678212) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2021-08-16 |