| NPI | 1851475792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305061) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 415198) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381387) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-04-29 |