| NPI | 1205673696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354203) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 588786) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-09-27 |