| NPI | 1417682782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310791) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: NY 310791) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 310791) | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2025-04-02 |