| NPI | 1801541842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F309895) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NY F309895) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-06-21 |