| NPI | 1073382834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F354826) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 733765) |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-10-29 |