| NPI | 1184321150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 350731) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 11602) |
| 163W00000X Registered Nurse (Licence: OH 445222) | |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-11 |