| NPI | 1801175849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305690-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 305690) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2023-07-06 |