| NPI | 1407317241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 2749009) |
| Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: NY 713812) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-07-11 |