| NPI | 1851916431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F309643-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 771327-01) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2023-05-18 |