| NPI | 1235918418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F352685-01) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY 2005457062) |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: NY 2005464120) | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-04-22 |