| NPI | 1942563119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305685) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 601931) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305685) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-05-15 |