| NPI | 1396268017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 703645) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 703645) | |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NY 703645) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-07-22 |