| NPI | 1285491274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F353563-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0068865) |
| 163W00000X Registered Nurse (Licence: NY 913734) | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |