| NPI | 1346936390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311270) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 719988) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-07-03 |