| NPI | 1962913228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F31006) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7301) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 733228) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2024-07-10 |