| NPI | 1366209827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 311529) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311529) |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-18 |