| NPI | 1235712449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 669329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348205) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2023-05-17 |