| NPI | 1245929439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 351963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 751665-01) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-06-29 |