| NPI | 1932696234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308576) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 659753) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2020-11-30 |