| NPI | 1831571223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311198-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 699465) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2023-02-23 |