| NPI | 1275091266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346257) |
| Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: NY 707970) |
| 163WG0600X Registered Nurse, Gerontology (Licence: NY 707970) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 707970) | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2024-04-10 |