| NPI | 1447872817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309912) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 309912) |
| 163W00000X Registered Nurse (Licence: NY 587887) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2025-11-18 |