| NPI | 1053097691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311294-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 757006-01) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |