| NPI | 1972015527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308450) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F308450-1) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2023-06-13 |