| NPI | 1861091324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 310040) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310040-01) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 310040) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 310040) | |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2022-05-02 |