| NPI | 1245873959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311485) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R166689) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2024-02-01 |