| NPI | 1952854283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310057) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 310057) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008782) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2021-07-09 |