| NPI | 1811455793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F344164-1) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F344164-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F344164-1) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F344164-1) | |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2019-03-09 |