| NPI | 1003582941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310282) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 310282) |
| 163WG0100X Registered Nurse, Gastroenterology (Licence: NY 310282) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 310282) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NY 310282) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: NY 310282) | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2025-03-21 |