| NPI | 1841518834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 312322) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 652556) |
| 164W00000X Licensed Practical Nurse (Licence: NY 291707-1) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2025-07-22 |