| NPI | 1780944363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 30 305525) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 544021) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2016-03-01 |