| NPI | 1407634595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F352639-01) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 751850-01) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-27 |