| NPI | 1982834024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F352191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN605401) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2023-10-10 |