| NPI | 1790350890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310228) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310228) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-10-07 |