| NPI | 1114618568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351320) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 705023) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14965700) | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-02-21 |