| NPI | 1285312728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F351946-01) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY 575787) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2024-03-08 |