| NPI | 1831669795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310391) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 730984) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2023-12-05 |