| NPI | 1316770639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355059) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 819672) |
| 163W00000X Registered Nurse (Licence: GA rn315473) | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |