| NPI | 1922194521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304133) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY F304133) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304133-1) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-06-27 |