| NPI | 1841482353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 339879) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: NY F304344-1) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2021-10-01 |