| NPI | 1932208741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300631-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 385509-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 300631) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-07-05 |