| NPI | 1316620214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 31176801) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 543061-1) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-08-13 |