| NPI | 1801148630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310320-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 586529-01) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2024-07-16 |