| NPI | 1093506958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355879-07) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY 620695) |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: NY 620695) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F355879-07) | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-06-10 |