| NPI | 1063303147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 357226) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 797801) |
| 163WE0003X Registered Nurse, Emergency (Licence: UT 10376606-3102) | |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |