| NPI | 1801883350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F334045) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F334045) |
| 363L00000X Nurse Practitioner (Licence: NY F334045) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2010-11-11 |