| NPI | 1174244834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349281-01) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 690006-01) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2023-12-19 |