| NPI | 1881239192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309255) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F309255) |
| 163W00000X Registered Nurse (Licence: NY 716550) | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-05-11 |