| NPI | 1912446790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308562-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 71718-1) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2024-01-11 |