| NPI | 1790918613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 588543) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2018-09-06 |