NPI | 1023909488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353593-01) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 353593-01) |
Enumeration Date | 2025-07-14 |
Last Update Date | 2025-08-14 |