| NPI | 1194562173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349634) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 810506) |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |