| NPI | 1841654365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307562) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 006510) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-12-22 |