| NPI | 1265284046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F311150-01) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 695622-01) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |