| NPI | 1205667995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 360490) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9521095) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2026-08-07 |